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MR. MOHAMMAD A SHADJARI PA-C
NPI 1396920864
Physician Assistant - Medical in Long Beach, CA

Active since January 03, 2008PECOS Enrolled
1635 E OCEAN BLVD, APT. F3, LONG BEACH, CA 90802(818) 599-6944 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mohammad A Shadjari Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MOHAMMAD A SHADJARI PA-C (NPI 1396920864) is an individual medical provider in Long Beach, California, licensed in California (CA17775) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396920864
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MOHAMMAD A SHADJARICredential: PA-C
Location Address1635 E OCEAN BLVD, APT. F3Long Beach, CA 90802-6001
Mailing Address1635 E Ocean Blvd, Apt. F3Long Beach, CA 90802-6001 · (818) 599-6944
Phone(818) 599-6944
Sole ProprietorYes
Enumeration DateJanuary 3, 2008
✔ NPI 1396920864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · CA17775
1635 E OCEAN BLVD, Long Beach, CA 90802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mohammad A Shadjari Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VEDANTI SOLANKI
Specialist/Technologist (Athletic Trainer)
1635 E OCEAN BLVD
LONG BEACH, CA 90802
Los Angeles County (562) 357-6237
MISS KATHRYN B CONLON AMFT
Marriage & Family Therapist
1635 E OCEAN BLVD
LONG BEACH, CA 90802
Los Angeles County (562) 548-7639
CARL D FREEMAN MA
Marriage & Family Therapist
1635 E OCEAN BLVD
LONG BEACH, CA 90802
Los Angeles County (415) 712-6827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Shadjari's NPI number?

The NPI number for Mohammad Shadjari is 1396920864. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Mohammad Shadjari located?

Mohammad Shadjari practices at 1635 E Ocean Blvd Apt. F3, Long Beach, CA 90802. The listed phone number is (818) 599-6944.

What is Mohammad Shadjari's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mohammad Shadjari enrolled in Medicare?

Yes. Mohammad Shadjari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Shadjari was last updated on January 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.